Asked Questions
SF Health Network
Rebuild San Francisco
General Hospital & Trauma Center

Why Rebuild San Francisco
General Hospital and Trauma Center?

In 1996, California Senate Bill (SB) 1953 was passed as
an amendment to and furtherance of the Alfred E. Alquist Hospital
Seismic Safety Act (Alquist Act) enacted in 1973. The intent of the
original act was to ensure that acute care hospitals remain functional
after a major earthquake. The Alquist Act requires all general acute
care hospital buildings to meet explicit seismic safety standards by
either retrofitting existing buildings or electing the option, provided by
SB 1801 (Speier) adopted in 2000, to rebuild a new hospital building
by 2013. If hospitals fail to comply with these regulations, they would have
to close their acute care facilities after 2008.

In 2000, the San Francisco Department of Public Health (SFDPH)
commissioned a seismic evaluation study which concluded that the
Main Hospital building at SFGH has significant seismic
deficiencies and that it may not be capable of providing health care
services to the public after a major seismic event. The SFGH
Main Building was categorized as a Structural Performance Category
1 (SPC-1). Buildings categorized as a SPC-1 pose a significant risk of
partial or total collapse and a danger to the public.

In 2001 the San Francisco Health Commission adopted resolution
1-01 supporting the construction of a new general acute care hospital
by 2013.

SFGH needs to be rebuilt so that

  • The acute care hospital can be relocated into a seismically safe structure to comply with SB 1953 to ensure continued hospital operations, or the hospital will close in 2013.
  • It can continue to be the only trauma center in the City and County of San Francisco that serves all San Francisco residents.